Chicago Ridge Immediate Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036117726 Issued in IL

Legal business name

CHICAGO RIDGE IMMEDIATE CARE INC

Practice address

9830 Ridgeland Ave
Suite 9
Chicago Ridge, IL 60415-2667

Phone

(630) 827-2500

NPI assigned

Jan 13, 2010

Last updated

Jan 13, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Moqueet Syed

Title

Manager

Phone

(630) 827-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammed A Alawad, MD

  • Internal Medicine Physician
  • Chicago Ridge, IL
  • NPI 1952357436
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1871823831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "address_2": "SUITE 9",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "630-827-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "address_2": "SUITE 9",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "630-827-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO RIDGE IMMEDIATE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MOQUEET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-827-2500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036117726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Casabal, PTA
• Kaely Rose Cassidy, M.S., SLP/L
• Celeste Marie Cassin, LPN
• Bassem Chaar, M.D.
• Abdullah B Chahin, MD
• Chicago Ridge Medical Imaging, LLC
• Chicago Ridge Physical Therapy LLC
• Chicago Ridge Radiology SC
• Chicago Ridge Radiology SC
• Chicago Ridge Radiology SC

• Family Medicine Physician in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.